| Name: | Alabama Center for Infectious Disease, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 17 May 2010 (15 years ago) |
| Entity Number: | 000-264-202 |
| Register Number: | 000264202 |
| ZIP code: | 35741 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2061 DUG HILL RDBIRMINGHAM, AL 35741 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801117262 | 2010-06-18 | 2010-06-18 | 201 SIVLEY RD SW, SUITE 540, HUNTSVILLE, AL, 358015134, US | 201 SIVLEY RD SW, SUITE 540, HUNTSVILLE, AL, 358015134, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-265-1902 |
| Fax | 2562651903 |
Authorized person
| Name | DR. RICHARD VICTOR SPERA JR. |
| Role | OWNER |
| Phone | 2562651902 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | 21563 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1790777613 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529990916 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALABAMA CENTER FOR INFECTIOUS DISEASE 401 (K) PLAN | 2012 | 272585823 | 2013-10-15 | ALABAMA CENTER FOR INFECTIOUS DISEASE | 5 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 272585823 |
| Plan administrator’s name | ALABAMA CENTER FOR INFECTIOUS DISEASE |
| Plan administrator’s address | 201 SIVLEY DR, SW, #540, HUNTSVILLE, AL, 35801 |
| Administrator’s telephone number | 2562651902 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | RICHARD V.SPERA, JR. |
| Name | Role | Address |
|---|---|---|
| SPERA, RICHARD V | Agent | 2061 DUG HILL RDBROWNSBORO, AL 35741 |
| Name | Role | Address |
|---|---|---|
| SCHIFF, GARY S | Incorporator | 420 20TH STREET NORTH, SUITE 1400BIRMINGHAM, AL 35203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
